FACHE, Agency Director, County of San Diego (CA) Health and Human Services Agency
With over 30 years of experience leading health and human services, Nick Macchione serves as San Diego County’s Director of the Health and Human Services Agency. Macchione oversees a workforce of approximately 6,400 employees and a $2.2 billion annual budget, which serves over 1.3 million people. In his role, Macchione is at the forefront of a paradigm shift transforming how government serves the public to live well. As the architect and strategist of “Live Well San Diego,” Macchione is championing a large-scale, social movement for prevention, wellness and whole person care. Since its inception in 2010, community based organizations to collectively unify a region where everyone can be healthy, safe and thriving.
His efforts transcend organizational and jurisdictional boundaries in a generative way, moving beyond politics to improve lives. The Agency is one of the largest, integrated health and human services networks in the nation and has earned numerous national accolades for its highly innovative and cost effective solutions in improving the health, safety and well-being among residents across the region. In his role, Macchione manages the day-to-day operations of major departments of which include: Public Health, Behavioral Health, Inpatient Medical Care (109-licensed bed acute-care Psychiatric Hospital and 192-licensed bed sub-acute care Edgemoor Hospital), Public Assistance Services, Child Welfare Services, Aging & Independence Services, Public Guardian & Public Administrator, Early Childhood Development Services and the Executive Office (finance, operations, human resources, compliance, strategy, information technology, legislative affairs, media and contracts). Medicaid managed care network for 975,000 lives including major safety net programs to increase access to healthcare for those without health insurance, as well as, managed the care of special health needs populations (developmentally disabled, severely physically disabled, and/or mentally ill).
Under Macchione’s direction, the Baldrige Foundation recently recognized the Agency with the 2017 Silver level California Awards for Performance Excellence (CAPE) Eureka Award for Performance Excellence, and Edgemoor Distinct Part Skilled Nursing Facility 2017 Gold level for Excellence in Quality Award. Both awards acknowledge outstanding commitment to sustainable excellence through innovation, continuous improvement, visionary leadership and serve as models of excellence in providing high-quality care.
Macchione holds Master’s degrees from Columbia University and NYU specializing in leadership, management and policy and is the Baldrige Foundation’s 2018 Harry S. Hertz Leadership Award Recipient. A leader, professor and a lifelong scholar, Macchione is actively involved in community and professional activities at both the national and regional level. Macchione is a Fellow of the American College of Healthcare Executives, a Public Health Leadership Scholar with the Public Health.Institute/federal CDC and a Creating Healthier Communities Fellow of the American Hospital Association. For the past 21 years, he has been an instructor and faculty member at San Diego State University’s Graduate School of Public Health and holds the endowed position of the John Hanlon Executive Scholar for the division of health management and policy.